Individual
DIANE KEISTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
2300 MENAUL BLVD NE, ALBUQUERQUE, NM 87107-1851
(505) 272-3000
Mailing address
800 BRADBURY DR SE STE 116, ALBUQUERQUE, NM 87106-4310
(505) 272-1476
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY-2025-0044
NM
Other
Enumeration date
05/12/2023
Last updated
06/17/2025
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